NEW Health Policy—First implemented in China in February 2020, Fangcang shelters, large-scale temporary hospitals, are a novel concept. S Chen et al discuss the value of shelters as a component of national responses to the #COVID19 pandemic & beyond [1/5] hubs.ly/H0p95vN0
As #COVID19 spreads globally, China has started to support other countries, such as Italy, Iran & Serbia, in developing Fangcang shelter hospitals adapted to their national contexts, & authors note that the USA, the UK and Spain are implementing similar measures [2/5]
Following a shortage of beds, on Feb 5, Wuhan city opened 3 Fangcang shelter hospitals by converting exhibition centres & stadiums. Over the following weeks, Wuhan opened 13 additional shelter hospitals. Figure below shows progression of bed capacity & occupancy over time [3/5]
Built overnight, shelter hospitals provided isolation, triage, medical care, monitoring & referral, shelter, & social engagement. Authors note that Fangcang shelter hospitals have 3 characteristics that make them suited to public health emergencies, shown below [4/5]
Authors note the Fangcang shelter hospitals were set up primarily to care for patients with mild to moderate #COVID19 symptoms. As the epidemic in Wuhan subsided, all hospitals were successively suspended, having cared for 12,000 patients. Table shows admission criteria [5/5]
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‘Policy inertia’ is enabling the products and practices of some commercial actors to cause significant, ongoing harm to health, warn experts.
A new Lancet Series argues for a bold system overhaul that puts people and planet first: hubs.li/Q01HD8h_0
What are the commercial determinants of health?
Lack of consensus on the definition has been a sticking point, hampering action.
The Series authors provide an explanation and outline potential pathways to health benefits or harms: hubs.li/Q01J2gbV0
While commercial actors can contribute positively to health and society, a significant proportion are not.
Just 4 industry sectors are responsible for at least 1/3 of global deaths every year:
🚬 Tobacco
🍺 Alcohol
🍔 Unhealthy foods
🏭 Fossil fuels hubs.li/Q01J2gbV0
New Lancet Commission details "massive global failures" of the #COVID19 response & issues recommendations to help:
1️⃣ End the pandemic emergency
2️⃣ Protect against future health shocks
3️⃣ Achieve sustainable development for all
Access the report: hubs.li/Q01mlD0h0
Glaring deficiencies in pandemic preparedness & response have cost lives, livelihoods, & progress towards the #SDGs.
The Lancet COVID-19 Commission identifies several failures of governance ⤵ hubs.li/Q01mmNZd0
Synthesising evidence from the first 2 years of #COVID19, Commission authors make 11 essential recommendations for a resilient post-pandemic world 👇 hubs.li/Q01mmNZd0
📢 The Lancet Group is pleased to announce an important step towards advancing equity, diversity, & inclusion in our publishing practices:
Authors & reviewers will now be invited to (optionally) self-report their gender, race, & ethnicity via our Editorial Manager sites. 1/4
Understanding the demographics of our authors & reviewers is integral to the work of the Lancet Group for Racial Equity (GRacE) & the Gender & Diversity Taskforce; to identify gaps in representation & propose solutions to address them. 2/4
This approach has already proven successful for gender data collection; we hope to build on this with the introduction of the schema & the addition of race & ethnicity as categories. 3/4
When successfully delivered, primary health care can:
1⃣ Improve equity, promote good health, & reduce risk of disease
2⃣ Limit the financial burden of health-care for households
3⃣ Save governments money
Although a staple of high-performing health systems, #PrimaryHealthCare lacks funding, quality, & accessibility in many low- & middle-income countries (LMICs).